Provider Demographics
NPI:1154129278
Name:HULL, SHANNON T (SLP)
Entity type:Individual
Prefix:MRS
First Name:SHANNON
Middle Name:T
Last Name:HULL
Suffix:
Gender:
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 NORTHPOINT PKWY
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-7904
Mailing Address - Country:US
Mailing Address - Phone:561-712-1717
Mailing Address - Fax:561-712-1118
Practice Address - Street 1:301 NORTHPOINT PKWY
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-7904
Practice Address - Country:US
Practice Address - Phone:561-712-1717
Practice Address - Fax:561-712-1118
Is Sole Proprietor?:No
Enumeration Date:2025-03-05
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSZ12149235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist